Active NPI
Emily Lyford, M.A.
- School Psychologist
- Spring Valley, AZ
National Provider Identifier
1629370978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3778980
- Practice address
- 17300 E Mule Deer Dr
Spring Valley, AZ 86333-4218 - Phone
- (928) 642-1007
- Fax
- (928) 632-4005
- NPI assigned
- Nov 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3778980 | AZ | Primary |
Addresses
Primary practice location
17300 E Mule Deer Dr
Spring Valley, AZ 86333-4218
Mailing address
PO Box 1059
Mayer, AZ 86333-1059
Phone (928) 642-1007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 563454 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3778980 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1629370978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1059",
"city": "MAYER",
"state": "AZ",
"postal_code": "863331059",
"telephone_number": "928-642-1007",
"fax_number": "928-632-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 E MULE DEER DR",
"city": "SPRING VALLEY",
"state": "AZ",
"postal_code": "863334218",
"telephone_number": "928-642-1007",
"fax_number": "928-632-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYFORD",
"first_name": "EMILY",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3778980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "563454",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.